Jean Kattar DDS Corp

Primary specialty

DentistTaxonomy code 122300000X

License

39973 Issued in CA

Legal business name

JEAN KATTAR DDS CORP

Practice address

1141 E Alosta Ave
Azusa, CA 91702-2740

Phone

(626) 335-8000

Fax

(626) 335-1333

NPI assigned

Jun 4, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jean Maroun Kattar, DDSNPI 1205978418

Title

Ceo Provider

Phone

(626) 335-8000

Specialties & licenses 1

Addresses

Other names 1

• Jean Kattar DDS Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jean Maroun Kattar, DDS

  • Dentist
  • Azusa, CA
  • NPI 1205978418
  NPD (past) Authorized official
• Fadi Kattar, DDS

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1013035260
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1255590303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 E ALOSTA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022740",
            "telephone_number": "626-335-8000",
            "fax_number": "626-335-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 E ALOSTA AVE",
            "city": "AZUSA",
            "state": "CA",
            "postal_code": "917022740",
            "telephone_number": "626-335-8000",
            "fax_number": "626-335-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN KATTAR DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "KATTAR",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MAROUN",
        "authorized_official_title_or_position": "CEO PROVIDER",
        "authorized_official_telephone_number": "626-335-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jean Kattar DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Isarraraz, HIGH SCHOOL DIPLOMA
• Armando J Islas, D.D.S.
• Thomas Eugene Jackson, PT
• Nicole Jaffke
• James D. Ahn, DDS, Inc.
• Joshua Jeleniowski, NP STUDEBT
• Susan Renee Jester
• William Zach Johns, MSW
• Jolly Transport Incorporated
• Gabrielle C Jones

• Dentist in Azusa, CA
• Providers in Azusa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.